CORRELATION BETWEEN ANXIETY IN MOTHERS AND CHILDREN WITH SENSORY IMPAIRMENTS BEFORE DENTAL TREATMENT
Objective: Mothers have very important roles in their children's development. Their instinctive love develops strong emotional connections with their children, especially when their children have sensory impairments (SI). Feelings experienced by mothers, such as anxiety toward dental treatment, can affect their children's emotions. Salivary alpha amylase (sAA) has been proposed as a biomarker of stress due to its sensitivity to changes in the body, such as dental anxiety. This study aimed to analyze the relationship between sAA levels in mothers and children with SI before dental treatment.
Methods: Measurement of sAA from sixty pairs of children with SI and their mothers was taken together in the waiting room before the children's dental treatment. Spearman's analysis was used to find the correlation between their sAA levels.
Results: In this study, sAA levels in mothers accompanying their children with SI correlated significantly with their children's sAA levels (r=0.533; p<0.002).
Conclusions: The correlation between dental anxiety in mothers and children with SI before dental treatment was found to be significant.Practical Implications: Anxiety toward dental care is a phenomenon that frequently arises in children. Mothers, the main influencers of their children's development, are thought to be one cause of high anxiety in children. Children with special needs are at a higher risk for developing dental problems. Therefore, an understanding of these children's levels of anxiety can be used by pediatric dentists to improve dental care.
2. Sadi H, Finkelman M, Rosenberg M. Salivary cortisol, salivary alpha amylase, and the dental anxiety scale. Anesth Prog 2013;60:46-53.
3. Wright GZ, Kupietzky A. Behaviour Management in Dentistry for Children. 2nd ed. Iowa: John Wiley & Sons, Inc.; 2014. p. 248.
4. Mangunsong F. Psikologi dan Pendidikan Anak Berkebutuhan Khusus. Jilid Satu. Depok: LPSP3 UI; 2009.
5. Andayani BK. Peran Ayah Menuju Coparenting. Sidoarjo: Laros; 2007.
6. Gunarsa SD. Psikologi Praktis: Anak, Remaja, dan Keluarga. Jakarta: PT BPK Gunung Mulia; 2004.
7. Brown NJ, Kimble RM, Rodger S, Ware RS, McWhinney BC, Ungerer JP, et al. Biological markers of stress in pediatric acute burn injury. Burns 2014;40:887-95.
8. McKay KA, Buen JE, Bohan KJ, Maye JP. Determining the relationship of acute stress, anxiety, and salivary alpha-amylase level with performance of student nurse anesthetists during human-based anesthesia simulator training. AANA J 2010;78:301-9.
9. Noorani H, Joshi HV, Shivaprakash P. Salivary alpha amylase as a noninvasive biomarker for dental fear and its correlation with behavior of children during dental treatment. Int J Clin Pediatr Dent 2014;7:19-23.
10. Karibe H, Aoyagi-Naka K, Koda A. Maternal anxiety and child fear during dental procedures: A preliminary study. J Dent Child (Chic) 2014;81:72-7.
11. Goettems ML, Ardenghi TM, Romano AR, Demarco FF, Torriani DD. Influence of maternal dental anxiety on the childâ€™s dental caries experience. Caries Res 2012;46:3-8.
12. Mahoney EK, Kumar N, Porter SR. Effect of visual impairment upon oral health care: A review. Br Dent J 2008;204:63-7.
13. American Academy of Pediatric Dentistry. Guideline on behavior guidance for the pediatric dental patient: Reference manual. Pediatr Dent 2015;37:180-93.
14. Kim JS, Boynton JR, Inglehart MR. Parentsâ€™ presence in the operatory during their childâ€™s dental visit: A person-environmental fit analysis of parentsâ€™ responses. Pediatr Dent 2012;34:407-13.
15. Pani SC, AlAnazi GS, AlBaragash A, AlMosaihel M. Objective assessment of the influence of the parental presence on the fear and behavior of anxious children during their first restorative dental visit. J Int Soc Prev Community Dent 2016;6:S148-52.
16. Ollendick TH, Matson JL, Helsel WJ. Fears in visually-impaired and normally-sighted youths. Behav Res Ther 1985;23:375-8.
17. Ardito RB, Adenzato M, Dellâ€™Osbel G, Izard E, Veglia F. Attachment representations in adults with congenital blindness: Association with maternal interactive behaviors during childhood. Psychol Rep 2004;95:263-74.
18. Bowlby J. Attachment and Loss. New York: Basic; 1982. p. 1-325.